Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.75 / $1,578.51 / $5,979.00	Facility		$188.75	$1,578.51	$5,979.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $16.66 / $28.79 / $58.27	Facility	53	$16.66	$28.79	$58.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $170.63 / $296.27	Professional		$77.25	$170.63	$296.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,834.00 / $3,366.00 / $7,875.00	Facility		$1,834.00	$3,366.00	$7,875.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $144.35 / $226.26	Professional		$85.60	$144.35	$226.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $140.54 / $140.54	Facility		$140.54	$140.54	$140.54
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.11 / $28.11 / $28.11	Facility	53	$28.11	$28.11	$28.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $198.71 / $395.61	Professional		$96.80	$198.71	$395.61
United Facility/Professional Facility Modifier Low / Median / High Price $367.00 / $1,189.50 / $2,808.00	Facility		$367.00	$1,189.50	$2,808.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.05 / $276.64 / $455.03	Professional		$195.05	$276.64	$455.03